Buena Vista Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25658 Issued in TX

Legal business name

BUENA VISTA PHARMACY, INC

Doing business as

Super Drug Mart #5

Practice address

8920 US Highway 87 E Ste 4a
San Antonio, TX 78263-2238

Phone

(210) 648-9001

Fax

(210) 649-9004

NPI assigned

Jul 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raymond D Ibanez, RPH

Title

President

Phone

(210) 674-1900

Specialties & licenses 1

Addresses

Other names 1

• Super Drug Mart #5 Doing business as

Tax ID family

Buena Vista Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Buena Vista Pharmacy Inc

  • Community/Retail Pharmacy
  • Pipe Creek, TX
  • NPI 1851738066
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1871783324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 US HIGHWAY 87 E STE 4A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632238",
            "telephone_number": "210-648-9001",
            "fax_number": "210-649-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 US HIGHWAY 87 E STE 4A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782632238",
            "telephone_number": "210-648-9001",
            "fax_number": "210-649-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-674-1900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Drug Mart #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Buena Vida Counseling Services
• Buena Vida Health Services, Inc.
• Buena Vista Discount Pharmacy
• Buena Vista Family Practice, P.a.
• Buena Vista Pharmacy Inc.
• Buena Vista Pharmacy, Inc.
• Miguel Angel Buendia Muniz
• Anais Buendia, PHARMD
• Bo Bridgette G Bueno
• Cecilia Bingham Bueno, LMFT , LCDC

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.